Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia.
Acta Paediatr. 2010 Aug;99(8):1119-27. doi: 10.1111/j.1651-2227.2010.01811.x. Epub 2010 Mar 29.
The aim of this review is to present clinically relevant data on prenatal development of thalamocortical connections in the human brain. The analysis is based on extensive Zagreb Neuroembryological Collection, including more than 500 prenatal human brains stained with various classical neurohistological, as well as modern histochemical and immunohistochemical methods. The connection of thalamocortical axons during the 'waiting' period with transient cortical subplate zone and subsequent synaptic engagement in the cortical plate is the main connectivity event in the late foetus and preterm infant. This connectivity is the structural substrate for the endogeneous subplate and sensory-driven circuitry generating transient electrical phenomena and may represent a transient network in the developmental history of consciousness.
Findings presented in this review should be considered in the management of pain in preterm infants, in searching for the vulnerability of the subplate zone in diagnostic procedures using the in vivo MRI and in revealing the developmental origin of cognitive and mental disorders.
本综述旨在呈现人类大脑丘脑皮质连接的产前发育的临床相关数据。分析基于广泛的萨格勒布神经胚胎学收藏,包括 500 多个用各种经典神经组织学以及现代组织化学和免疫组织化学方法染色的产前人脑。在“等待”期,丘脑皮质轴突与短暂的皮质基板区的连接以及随后在皮质板中的突触结合是晚期胎儿和早产儿的主要连接事件。这种连接是内源性基板和感觉驱动回路的结构基础,这些回路产生短暂的电现象,并且可能代表意识发展历史中的一个短暂网络。
本综述中提出的研究结果应在早产儿疼痛管理、使用活体 MRI 进行诊断程序中基板区脆弱性的探索以及揭示认知和精神障碍的发育起源中加以考虑。